Job Summary

Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Department's and the hospital's fiscal goals. Supports the efforts of Coding, HIM, Denials, and Utilization Management by ensuring timely, accurate, and complete data entry in multiple information systems/data bases. Assists Patient Accounts by reviewing, correcting and submitting billing information to enable timely filing of bills and maintaining a low AR. Brings issues with legal, risk management, or compliance implication to the attention of Manager or Director in an expedient manner. Functions as key contact point for the Hospital and maintains excellent working relationships with TGH ancillary leadership, payers, physicians, physician advisors, and external Third-Party auditors. Participates in strategic planning for the department, working as a member of the leadership team. Interviews applicants, makes recommendations for hiring and salary for new employees, completes performance appraisals in a timely manner and employs disciplinary actions as required. Represents the department on Committees as indicated. Responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital and the principles of quality improvement.

Qualifications

• Florida LPN with 4 years auditing experience required or Florida RN with 4 years recent clinical experience, or bachelor's degree in informatics with at least 3 years of CDM experience.
• Medical audit experience and credentialed as a Certified Medical Audit Specialist (CMAS) from American Association of Medical Audit Specialists (AAMAS) preferred.
• Completion of the certification program within 2 years of hire is required.